- Molina Healthcare (Yonkers, NY)
- …leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider ... complaints, appeals , and claim disputes, and communicating resolution to members,...direct oversight, monitoring and training of provider disputes and appeals to ensure adherence with Medicare standards and requirements… more
- Molina Healthcare (Rochester, NY)
- …and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements established by ... and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and resolving contracted… more
- MTA (Brooklyn, NY)
- Assistant General Counsel III - Appeals , Torts Job ID: 12066 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: Regular ... 2025 Description Job Information Assistant General Counsel III - Appeals , Torts First Date of Posting: 7/10/2025 Last Date...Torts Reports to: Deputy Executive Assistant General Counsel - Appeals Work Location: 130 Livingston St. Brooklyn Hours of… more
- Molina Healthcare (Yonkers, NY)
- …hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving member ... appeals and communicating resolution to members and provider (or...Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers… more
- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and electronic ... format. Collaborating with the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical staff, the Appeal Manager is responsible to develop a… more
- Molina Healthcare (Yonkers, NY)
- …request authorization. Strongly prefer candidates with a background in appeals and grievances. Excellent computer multi-tasking skills and good productivity ... office with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for … more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according ... and/or escalates denial when appropriate. Submits all (initial and/or appeals ) reviews and/or letters within contractual or regulatory timeframes. Collaborates… more
- City of New York (New York, NY)
- …Department is seeking applicants for an Assistant Corporation Counsel position in its Appeals Division. The Appeals Division handles appeals originating from ... before federal and state appellate courts and are responsible for briefing and arguing appeals in an array of cases, from routine litigation arising out of the… more
- New York State Civil Service (Liverpool, NY)
- …Attorney 1/ Assistant Attorney 2/ Assistant Attorney 3 / Senior Attorney - Appeals (NY HELPS) Occupational Category Legal Salary Grade NS Bargaining Unit PS&T - ... requests* Prepare and timely file clearly written and persuasive appeals , rebuttals, and memos of law with reference to...Law* Assist in the assignment of cases when the Appeals Unit Manager is absent for extended periods* Assist… more
- New York State Civil Service (Albany, NY)
- …Agency Court Administration, Office of Title Court Attorney Clerkship (Court of Appeals ) Occupational Category Legal Salary Grade 26 Bargaining Unit None listed ... 12207 Duties Description The New York State Court of Appeals , is seeking applications for TWO-YEAR CLERKSHIPS in the...and issues presented in motions to the Court of Appeals ; review and analyze appellate records and briefs; and… more